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HOSPICE OF SOUTHERN WEST VIRGINIA INC NPI 1871686717


NPI Information

NPI: 1871686717
Provider Name: HOSPICE OF SOUTHERN WEST VIRGINIA, INC

Doing Business As: PALLIATIVE CARE OF SOUTHERN WEST VIRGINIA

Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization

CLIA Number: 51D1060925

Address:
456 CRANBERRY DR
BECKLEY, WV
ZIP 25801
Phone: (304) 255-6404
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HOSPICE OF SOUTHERN WEST VIRGINIA, INC is a hospice inpatient in Beckley, WV. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. HOSPICE OF SOUTHERN WEST VIRGINIA, INC NPI is 1871686717. The provider is registered as an organization entity type.
The provider Is Doing Business As Palliative Care Of Southern West Virginia.

The provider's business location address is:

456 CRANBERRY DR
BECKLEY, WV
ZIP 25801-560
Phone: (304) 255-6404
Fax: (304) 255-6494

The provider's authorized official is Janett Green .
The authorized official title is Executive Director and has the following contact phone number (304) 255-6404.

The CLIA number assigned to this NPI record is 51D1060925 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 5/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based6WEST VIRGINIANo
2315D00000XHospice, InpatientYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1511506MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIA
20005593000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.